Provider Demographics
NPI:1952290850
Name:ALLEN, ANGELA CHARMELL (RN)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:CHARMELL
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:CHARMELL
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:16609 JUDY WAY
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-2819
Mailing Address - Country:US
Mailing Address - Phone:909-921-5204
Mailing Address - Fax:
Practice Address - Street 1:16609 JUDY WAY
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2819
Practice Address - Country:US
Practice Address - Phone:909-921-5204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA659003163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse